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Home My WebLink About21-3244; willim BGR-003244-2021 Issue Date: 12/06/2021 0 a =81TUM -M ri ffire V��l Z=-i M 0 Phone: Mechanical Valuation: Plumbing Valuation: Total Valuation: $9,615.00 Total Fees: $88,08 Amount Paid: $88.08 Date Paid: 12/6/2021 12:36:56PM Building Permit Fee $88.08 0 N 4 1 z MU *ft I Loll 12-41AMMILYMI may be found in the public records of this county, and there may be additional permit require from other governmental entities such as water management, state agencies or federal agencies. r, Iiiiiii R! 11 11 �� 1111 . . I - 111111:1rigill I'll 1111!11111! in 1A CONTRACTOR SIGNATURE PEfA]T OFFICEC) PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION W I , 5335 8" St tevWrhills WESUIUM 0 Permit liceWie—d`Vrid -Chipt r'4- 68, Florida Statutes as a(n): Contractor Engineer— Architect— Building Inspector_ On or about did personally inspect the: Check: Roof Deck Nailing---L Dry in Flashing and Drip edge, Check which was used: 30# felt— Peel and Stick zother (List)_ Based upon that examination, I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on Section 553.844, Florida Statutes). I Signature: STATE OF FLORIDA Sworn to and subscribed b �ffe th;� VV ( vand, u day -7/ By: Notary Pub" tateofFlorida "ill III Notary Public Se tatof Florida j6Angla .II.Polk I ission i on MYMHOPT744 Exp.12/20/2025 813-780-UO20 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received 0 Phone Contact for Permitting ) att tt€ spa. €&t Owner's Name`/ L. B ° Owner Phone Number Owner's Address d Owner Phone Number Fee Simple Titleholder Name®0s Owner Phone Number Fee Simple Titleholder Address 94 JOB ADDRESS-2116 .Z LOT # SUBDIVISION PARCEL ID# C11 (OBTAINED FROM PROPERTY TAX NOTICE)' WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN DEMOLISH INSTALL REPAIR 8 PROPOSED USE SFR Q COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL f a r DESCRIPTION OF WORK ( p BUILDING SIZE I -- � 'SQ-F.QOTAGE HEIGHT UILDING $� VALUATION 0 TOTAL CONSTRUCTION =ELECTRICA $ AMP SE CE 0 PROGRESS ENERGY W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ram'..-�. =GAS ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO COMPANY„i BUILDER SIGNATURE REGISTERED Y / N FEECURREN Y / N Address LdLIZ E a E #/ License # ELECTRICIAN COMPANY SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address I License # PLUMBER COMPANY SIGNATURE REGISTERED I Y / N I FEE CURREN Y / N Address License # MECHANICAL COMPANY r---- SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/ N Address License # OTHER COMPANY SIGNATURE REGISTERED Y / N FEE CURREN Y / N Address License # tf� tttlltif€€�t€f��;t€�€�#1t#�€��ltttflt�lt��ltltlt�1t1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. "'"PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public roadways -needs ROW 813-780-0020 City of Zephyrhills Permit Application I-ax-813-780-0021 Building Department NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations, The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division —Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner' prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment, Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers -Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit -Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency -Asbestos abatement. Federal Aviation Authority -Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone "Wunless expressly permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1 acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT Subscribed and swQw to (or affirm adit tie re me Who is/are personally known -to me or4tasi`heVe-priadurad, side c ion, Notary Public C.mm-,Mion No. ME me .4 40 1 M VIM ["00WIT91041111111111 Who is/are personally known to me as -identification, Notary Public Commission No. Name Name of Nota 40 A% Notary Public State of Florida sy Pctp Notary Public State of Florida 10 Alicia Herweln Alicia Herweh-Cannon AP -Cannon My Commission GG 218378 my Commission GG 218378 Expires 05J 16/2022 Expires 05116/2022 co REEEI MM0111M R&UPAE NOTICE OF COMMENCEMENT State of FLORIDA County of Pasco Property Identification No; I C) - A' - o I ")n - clb000 - 0 S� ? / THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in zccordance with Section 713 of the Commencement: 1. Legal Description: LA,)42 wood (Y)aoOr- Pyla" C PG .�,L6T 57 OP, 99 PG V? Street Address:517,* e.89 1", e DU PIT, Ze.ph T-L hitt/s FL335/':Q' 2. General Description of Improvement: 3. Owner Information or Lessee information if the Legsee contracted foor 'te improvement a) Name and address: mantiv, Wl(cw 5?oio aP,&-6�ju_j'4 C_ Zepbyp,hil/s Ft 33)-'/.Q b) Name and address of fee simple titleholder (if other than owner): N/A c) Interest in property: Owner 4. Contractor: Paul Schaper, 8949 Gall Blvd., Zephyrhills, FL 33541 - Ph: (813) 782-0920, Fax: (813) 715-4875 5. Surety: N/A 6, Lender: Name/Address: N/A 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7), Florida Statures: a) Name and address: NIA b) Telephone No.: Fax No. (Opt} 8. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: Paul Schaper, 8949 Gall Blvd, Zephyrhills, FL 33541 - Ph: (813) 782-0920 - Fax: (813) 715-4875 9. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PASCO Signature of Ownear Ownd's Authorizr fficer/Director/Partner/Manager Print Name instrumentThe foregoing was acknowledged before me this day of 20 cal , by as kkMC0� ryA _(type of authority, e.g. officer, trustee, attorney in fact) for _(name of party on behalf of whom instrument was executed). I I_— , — V—) Personally Known OR Produced Identification Notary Signature Type of ldentificatiio_nProduce d`)��Jt✓s �icQ ^ a� lam's Q _81gi STEPHANI:EANN Ross NOVY Public -State of F:lorf]da NN Commission # HH 0:54742 'e 19 0 . ..... !y.-W Ay Comm, Expires Oct 19,2024 Wa bonded through National Not" Ann, State Of Florida, County Of Paso This is to certify that the foregoing is a + true and correct copy of the docurnF or ' on file or of ounlic record in this office. a Witness my nand and official seel this ,•< s e �, Nikki Alvarez- owios, Esq., Clark & t;prnptroller Pasco Cou yFlorida ° � � "'Deputy Clerk Im